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orthotic gait
orthotic gait deviations
| Question | Answer |
|---|---|
| Lateral trunk bending: patient leans towards the orthotic side during stance | KAFO medial upright is too high; insuficient shoe lift; hip pain, weak or tight abductors on the ortotic side, short leg, poor balance |
| Circumdation and vaulting | locked knee, excessive plantar flexion, weak hip flexors or dorsiflexors, |
| Anterior trunk bemding | inadequate knee lock, weak Quadriceps, hip or knee flexion contracture |
| Posterior trunk bending | inadequate hip lock, , weak gluteus max, knee ankylosis |
| Hypextended knee during stance | inadequate plantar flexion stop, inadequate knee lock, calf band too deep, weak Quadriceps, loose knee ligaments, extensors spastisity, pes equinus |
| knee instability ( excessive knee flexion during stance) | inadequate DF stop, inadequate knee lock, knee or hip flexion contracture, weak quadriceps, knee pain |
| foot slap during early stance | inadequate DF assist, Excessive PF stop, weak DF |
| Toes first during stance | inadequate DF assist, PF stop excessive, inadequate heel lift, heel pain, PFspastisity, pes equinus, short leg |
| Flat foot | inadequate longitudinal support, pes planus |
| Pronation | ransverse plane malaligment, weak invertors, pes valgus, spastisity, genu valgum |
| Supination | transvrse plane malaligment, weak everters, pes varus, genu varum, |
| Excessive stance width | KAFO hight of medial upright too high, HKAFO hip joint aligned in excessive abduction, knee is locked, abduction contractures, poor balance, sound limb too short |
Created by:
kasia1
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